NDIS Eligibility Criteria: What You Must Meet to Access Support

As citizens and permanent residents of Australia, you must know that you can be cared for better with NDIS Plans. However, this must have some rules to follow. There are certain NDIS Eligibility Criteria that you must be aware of before you apply. We are here to help you out, not just to know but also to help you get the right guidance for your NDIS journey. Let us know more. 

Knowing NDIS Eligibility Criteria & Its Impact

NDIS is any but easy to understand if you are starting fresh. There are so many kinds of support, funds to see, and criteria to fill. All of this will need some help, and even further, once you are given the plan. 

But let us not rush, and understand all of it one by one. The first thing is to fit under the NDIS Eligibility Criteria. 

What You Must Meet to Access Support under NDIS Eligibility Criteria

All of us are aware that NDIS is a life-changing program that provides financial and practical support to help participants. But is that all? No! It is what makes you live the life you have always wanted. For many people, understanding what makes you eligible can feel confusing. So, keep reading! 

Why NDIS disability criteria matter? 

First and foremost, the national budget! And second, while most of the citizens enjoy almost free healthcare, some need more help. To make sure that they are attended to on priority, they need to have eligibility for the benefits. Hence, to receive funding, you must first meet specific NDIS Eligibility Criteria. This ensures the support goes to those who genuinely need it and helps maintain fairness and consistency across Australia.

With the growing number, many are helped by NDIS every year. According to the National Disability Insurance Agency (NDIA), which manages the NDIS, as of 2025, over 650,000 Australians are active participants in the scheme. 

Meeting the Basic NDIS Eligibility Criteria

Let’s start with the basics. To be eligible for the NDIS, you must meet the following conditions:

• You must be under 65 years old when applying.
• You must live in Australia and be an Australian citizen, permanent resident, or hold a Protected Special Category Visa.
• You need to have a permanent or significant disability that affects your ability to take part in everyday activities.

For example, a participant with a spinal injury or intellectual disability that causes them trouble would likely meet the criteria. However, each case is taken and judged individually based on evidence and reports from medical professionals.

Is the diagnosis enough for the NDIS eligibility criteria? 

Well, not exactly if we are being honest. The NDIA uses a “functional impact” assessment to see how well you can perform activities in areas like:

• Mobility like walking
• Communication, whether you can express or not 
• Self-care, things like dressing up 
• Learning and social interaction

You may be asked to submit reports from your GP, therapist, or specialist to support your application. At Gencare, our team can help participants gather the right documentation, making the process smoother and stress-free.

Early Intervention and Special Cases

Not everyone applying for the NDIS has a permanent disability. Some people qualify under the early intervention category. This is where the NDIS provides temporary support to prevent a condition from worsening or to help build important life skills early on.

For example, a young child with developmental delays may get therapy or equipment under early intervention to improve their outcomes.

Your Application Matters for NDIS Disability Criteria

Once you’ve confirmed that you meet the NDIS Eligibility Criteria. What’s next? It is to apply. You can do this online, by phone, or through a paper form. The application involves:

• Filling out the NDIS Access Request Form
• Mention personal information and contact details
• Submitting medical and functional evidence
• Giving consent for information sharing

Many applicants find this stage difficult, which is where Gencare’s support can make a huge difference.

Getting Approved and Choosing Your Provider

Once the NDIA reviews your application and approves it, you’ll receive an NDIS plan outlining your funding and support categories. This is where the real journey begins, choosing the right NDIS service provider to help you achieve your goals.

Why Choose Gencare for Your NDIS Journey

At Gencare, a leading NDIS disability service provider in Melbourne, we’ve seen how the NDIS can change lives when handled with care and understanding. One of our participants, Sarah, shared how overwhelmed she felt trying to know everything, from the eligibility process to planning and all of it. But with Gencare’s help, she not only got approved but also found support workers who truly understood her needs.

We do not make things too much for you. Keeping it understandable. All those heavy things, making it simpler is our job.

• Participants about their rights under the NDIS.
• Simplify all stages, ensuring no one feels left out or confused.
• Best of all, personalise services to promote confidence

Questions asked regarding NDIS eligibility criteria

What documents do I need to apply for NDIS funding?

To apply, all you’ll need is proof of identity, evidence of your condition. These include documents like medical or therapy reports. These give information on how your condition affects your daily life. We will guide you through each. Just reach out to us! 

How long does it take to get approved under the NDIS Eligibility Criteria?

Processing times vary depending on the complexity of your case. On average, it can take between 21 to 90 days after submitting your access request.

What happens after I’m approved for the NDIS?

Once you’re approved, you’ll receive your NDIS plan, outlining your supports and funding. You can then choose your preferred NDIS providers.

What if my NDIS application is rejected?

If your application doesn’t meet the NDIS Eligibility Criteria, you can request an internal review. Sometimes, it’s just a matter of providing more detailed evidence or updated reports. In such a case, we will review the entire thing all over again.